Assessing non-technical skills in the delivery room through multisensory-based simulation.

High-fidelity simulation (HFS) has proven to be an effective methodology for medical training and for reducing adverse events in the delivery room. The debriefing is the crucial learning moment of the whole method, since it boosts proper metacognition on the actions taken during the simulation. However, the focus is often directed to technical aspects (e.g., drug administration, specific procedures, etc.) while the so-called nontechnical skills (NTS, i.e., situation awareness, decision making, communication, leadership, teamwork, workload management) are overlooked or only superficially tackled. Unfortunately, literature on risk management demonstrated that the main contribution to adverse events is due to non-technical issues. HFS has the potential to be one of the most effective methods to train NTS, but it should be based on a sound method to observe and assess them